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Giant pancreatic incidentaloma: Report of a case and literature review.
MedLine Citation:
PMID:  22609702     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Asymptomatic lesions of the pancreas, referred to as 'incidentalomas', have appeared with increased frequency in recent years. Giant incidentalomas have rarely been reported in the literature.
PRESENTATION OF CASE: We report herein a rare case of a giant cystic pancreatic incidentaloma measuring 12.7cm×8cm, which was found in an otherwise healthy male patient during a routine genitourinary imaging work-up. The patient underwent a distal pancreatectomy and splenectomy; the pathology report demonstrated a giant serous cystadenoma of the body and tail of the pancreas.
DISCUSSION: The management of pancreatic incidentalomas is challenging. While solid lesions almost always warrant surgery, there is ongoing debate concerning the management of cystic lesions that are found incidentally in the pancreas and have no clinical manifestations.
CONCLUSION: We report herein an interesting case of a voluminous incidental cystic pancreatic lesion. The appropriate approach and the decision whether to operate or not in such cases can be puzzling to the physician.
Authors:
Petros Charalampoudis; Dimitrios Dimitroulis; Eleftherios Spartalis; Chrysovalantis Vergadis; Anastasios Stofas; Theodore Karatzas
Publication Detail:
Type:  Journal Article     Date:  2012-04-24
Journal Detail:
Title:  International journal of surgery case reports     Volume:  3     ISSN:  2210-2612     ISO Abbreviation:  Int J Surg Case Rep     Publication Date:  2012  
Date Detail:
Created Date:  2012-06-19     Completed Date:  2012-10-02     Revised Date:  2013-02-27    
Medline Journal Info:
Nlm Unique ID:  101529872     Medline TA:  Int J Surg Case Rep     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  362-5     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
Affiliation:
2nd Propedeutic Department of Surgery, Athens University Medical School, Laikon General Hospital, Athens Medical School, Athens, Greece.
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